Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax*

Amir, Rabia; Knio, Ziyad O.; Mahmood, Feroze; Oren-Grinberg, Achikam; Leibowitz, Akiva; Bose, Ruma; Shaefi, Shahzad; Mitchell, John D.; Ahmed, Muneeb; Bardia, Amit; Talmor, Daniel; Matyal, Robina

doi:10.1097/ccm.0000000000002451

Cited by 40 publications

(45 citation statements)

References 19 publications

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“…214,215 Observational studies also demonstrate that transthoracic ultrasound can confirm residence of the guidewire in the venous system (Category B3-B evidence). [216][217][218][219] One observational study indicates that transesophageal echocardiography can be used to identify guidewire position (Category B3-B evidence), 220 and case reports document similar findings (Category B4-B evidence). 221,222 Observational studies indicate that transthoracic ultrasound can confirm correct catheter tip position (Category B2-B evidence).…”

Section: Catheter Maintenancementioning

confidence: 97%

Practice Guidelines for Central Venous Access 2020

2020

Anesthesiology

139

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These practice guidelines update the Practice Guidelines for Central Venous Access: A Report by the American Society of Anesthesiologists Task Force on Central Venous Access, adopted by the American Society of Anesthesiologists in 2011 and published in 2012. These updated guidelines are intended for use by anesthesiologists and individuals under the supervision of an anesthesiologist and may also serve as a resource for other physicians, nurses, or healthcare providers who manage patients with central venous catheters. Supplemental Digital Content is available in the text.

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Section: Catheter Maintenancementioning

confidence: 97%

Practice Guidelines for Central Venous Access 2020

2020

Anesthesiology

139

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“…Furthermore, chest US is very useful to rule out PTX after an interventional procedure (ie, transbronchial lung biopsy, central venous catheter insertion and medical thoracoscopy) …”

Section: Chest Ultrasound Findingsmentioning

confidence: 99%

New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease

Marchetti

Arondi

Baglivo

et al. 2018

Clinical Respiratory J

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The use of transthoracic ultrasound (US) has acquired a wide consensus among respiratory physicians during the last few years. The development of portable devices promotes patient's bedside evaluation providing rapid, real-time and low-cost diagnostic information. The different acoustic impedance between different tissues and organs produces artifacts known as A lines, B lines, sliding sign, lung point, etc. The identification of such artifacts is essential to discriminate normal pleural appearance from the presence of pleural effusion, pneumothorax, thickenings and tumors. Ultrasounds are also a valuable tool during interventional procedures, such as thoracentesis, chest tube insertion and transcutaneous biopsy. Its use is recommended before medical thoracoscopy in order to assess the best site of trocar insertion according to presence, quantity and characteristics of pleural effusion. The aim of this review is to provide practical tips on chest ultrasound in clinical and interventional respiratory practice.

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“…Ultrasound identified important lung pathology that was missed by conventional assessment in 20% of patients, with the largest difference being in the detection of interstitial alveolar syndrome and the smallest difference being in detection of pleural effusion. Amir et al . also demonstrated that during central venous catheter insertion, TTE and lung ultrasound could substitute chest radiography for identifying the central venous catheter tip and excluding pneumothorax.…”

Section: The Breadth Of Perioperative Ultrasoundmentioning

confidence: 99%

Perioperative ultrasound‐assisted clinical evaluation – A case based review

Royse

Canty

Sessler

2018

Australas J Ultrason Med

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Ultrasound is increasingly being adopted into anaesthesia and intensive care practice. The range of ultrasound examination has also increased from transoesophageal echocardiography in cardiac surgery and ultrasound-guided nerve blocks and vascular access, to examination of the heart, lungs, abdomen and deep veins. Typically, the use of ultrasound is focused or basic, designed to be performed by the anaesthetist at the patient's bedside in real time to answer clinical questions and to direct therapy. Ultrasound is not performed in isolation, but used to complement clinical evaluation, and accordingly can be considered as 'ultrasoundassisted perioperative evaluation'. Whilst there is good evidence that ultrasound improves diagnostic accuracy and in turn alters management, there are few data examining whether ultrasound leads to improved clinical outcomes. This review will examine multiple uses of perioperative ultrasound with case studies to illustrate potential utility.

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Ultrasound as a Screening Tool for Central Venous Catheter Positioning and Exclusion of Pneumothorax*

Cited by 40 publications

References 19 publications

Practice Guidelines for Central Venous Access 2020

Practice Guidelines for Central Venous Access 2020

New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease

Perioperative ultrasound‐assisted clinical evaluation – A case based review

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